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Dental News, Volume XXIV, Number IV, 2017

Statements and opinions expressed in the articles and
communications herein are those of the author(s) and
not necessarily those of the Editor(s) or publisher.
No part of this magazine may be reproduced in any
form, either electronic or mechanical, without the
express written permission of the publisher.

Dr. Nabiha Douki
Head of the department
of Odontology,
Professor in Restorative
Dentistry and Endodontics
University Hospital of Sahloul
Sousse, Tunisia

Recently, resin infiltration technique was introduced
to mask these enamel lesions. Over time, the
indication evolved and was extended to all
etiologies responsible for enamel white lesions. However, from a topographic point of
view, the location of hypomineralized lesion
differs based on the corresponding etiology and
the appropriate choice of a specific treatment for
each location is necessary. To date, the etiology
of the lesion is solely considered when identifying
their topographic location within the enamel.
Conversely, the correlation between etiology and
topography remains theoretical and is, however,
regarded to be quite weak especially in cases
where only a partial improvement of the esthetic
appearance was seen.
Therefore, the results remain unpredictable in
most cases of such lesions regardless of their
plausible etiologies. As this idea kept grabbing our
attention during our study, it was compelling to
figure out the missing link between etiology and
the topography of hypomineralized enamel areas.
Likewise, a clinical evaluation of the enamel white
lesionâ&#x20AC;&#x2122;s depth must be adopted as, technically, the
latter seems to exclusively influence the treatment
outcome.
This work proposes a new topographic
classification along with a new set or classification
criteria of enamel white lesions for a more
proper management of hypomineralized teeth

Dental News, Volume XXIV, Number IV, 2017

comprising a major breakthrough in their
treatment. The means of Visual examination and
transillumination have served as references to
develop this new topographic classification.
Key words:
Cosmetic dentistry, Demineralization, Esthetic
dentistry, Minimally invasive dentistry, Restorative
dentistry, Enamel

Introduction
Hypomineralization is the presence of that visible
white area on the tooth surface is due solely
to a defect in the enamel. These opacities are
developmental defects of enamel (DDE) resulting
from enamel organ dysfunction due to a variety of
agents and defined as a qualitative defect resulting
histologically in hypomineralization [Mastroberardino et al., 2012; Pini et al., 2015; Senestraro et
al., 2013]. Recently, resin infiltration technique has
been introduced to optically mask these enamel
hypomineralized lesions and improve their
mechanical properties [Kielbassa et al., 2010; Paris
et al., 2013].
In order to successfully infiltrate these lesions,
having the necessary knowledge of their
topographic location seems crucial. Right up to the
present day, this topographic knowledge has been
based on the etiology of these lesions despite the
fact that new studies have emerged to provide
data on the little-known subsections of white-spot
lesions [Denis et al., 2013]. And while there is
a good correlation between such lesions, their
etiologies seem to present an unpredictable
location of hypomineralized enamel surfaces.
And it should be mentioned that several studies
have shown only partial improvement of esthetic
appearance of enamel white lesions while the

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14
Oral Pathology
results remain unpredictable in most cases of
such lesions regardless of their plausible etiologies
[Attal
et
al.,
2014;
Tirlet
et
al.,
2013].
Indeed,
in
order
to
obtain
successful infiltration of the lesion’s body, the
surface layer has to be removed by the application
of an etching procedure repeatedly [Meyer-Lueckel
and Paris, 2008b, a]. Thus, when hypomineralized
lesions are confined at the inner part of enamel,
the classic protocol of infiltration technique seems
to be inappropriate [Attal et al., 2014].
Therefore, the missing link between etiology
and topographic position of the hypomineralized
enamel surfaces has impelled our main attention
to set forth a new approach in locating enamel
white lesions. Consequently, a clinical evaluation of
their deepness and thickness must be considered
with a view to identifying a specific treatment for
each topographic location.
The aim of this work is to propose a new
topographic classification of enamel white lesions,
seeking to introduce a new paradigm concerning
their treatment regardless of their causes, a
codified procedure and a more conservative
treatment for a better aesthetic result. A second
article will be devoted more specifically to the
treatment of these spots with regard to this new
classification.

Visual examination
To date, there are no clinical methods describing
the topography of enamel white lesions.
However, visual examination can be useful to
determine their topographic location.
The perception of white lesions on enamel
surfaces is a complex phenomenon, yet, based on
the available data, a meticulous visual examination
can allow us to read a “topographic mapping” of
the lesion.
Optically and contrary to sound enamel,
hypomineralized enamel is a relatively heterogeneous tissue made up of organic and mineral
materials, with different refractive indices. In situ,
the multiplicity of these indices lead to a diffuse
reflection of light, and therefore the lesion appears
white [Denis et al., 2013].
On the other hand, from a clinical point of view,
Dental News, Volume XXIV, Number IV, 2017

Torlakovic showed a good correlation between
white intensity and the volume of hypomineralized white lesions [Torlakovic et al., 2012]. In fact,
the depth of enamel hypomineralization can
significantly explain the range of shades of white
lesions clinically observed. So genuinely, some
white lesions are only slightly whiter than sound
enamel, and air drying is required to detect them,
whereas others are intensely white, easily seen even
on a wet tooth surface [Torlakovic et al., 2012].
Moreover, enamel white lesions, may present a
white-yellowish or creamy appearance [Contaldo
et al., 2014].
The latter is due to the lesion depth as well as
tothe optical properties of sound enamel. In
fact, in regard to the small size of hydroxiapatite crystals (0.15 à 0.05 μm), the enamel, most
likely scatters short wavelengths leading to an
increased backscatter of blue light from its surface
which in return reflects a bluish appearance.
During significant light emission however, it filters
and shifts blue to red and shorter orange
wavelengths [Lasserre, 2007].
Indeed, Zijp reported that sound enamel, observed in daylight, appears to be pale yellow under
transmitted light [Zijp et al., 1995]. Therefore,
when the hypomineralization is confined at the
inner third of the enamel, the reflected light
coming out of this lesion is rather yellowish, and
clinically, the lesion shows a creamy discoloration.

Using transillumination
From an optical point view, sound enamel is
translucent. It permits not only the passage of light,
but also disperses it. However, enamel hypomineralized lesions are opaque and prevent the passage
of light [Powers and Sakaguchi, 2006].
Based on this criterion, fiber optic transillumination
(FOTI) has been used in vivo in caries detection
for many years. It offers an alternative method of
diagnosis of decayed tissue to supplement the
clinical examination. It is a simple, non-invasive,
painless method and can be used repeatedly with
no risk to the patient.
FOTI works due to differences in light transmission between normal and carious lesions. Indeed,
the disruption of crystal structure, which occurs in
hypomineralization has the ability to absorb light

16
Oral Pathology
photons producing a gray shade in this kind of
lesions. The procedure has been proven histologically and has levels of sensitivity and specificity that
exceed those of radiography [Davies et al., 2001;
Pitts and Stamm, 2004; Strassler, 2014; Zandonรก
and Zero, 2006].
Based on the same optical law, the supplemental
use of FOTI with other etiologies responsible for
enamel hypomineralization can be helpful in order
to evaluate depth and thickness of these lesions.
Indeed, when hypomineralized lesion is covered
by enamel, the transmitted light dispersed from
this translucent layer reveals poorly-defined and
fuzzy enamel opacity underneath sound enamel
[Chawla et al., 2008].
Presumably, we may assume that just like
underwater optical imaging where illumination
techniques illustrate the depths being portrayed;
this new technique may provide an idea about the
3-D depth information for optically shallow areas.
Accordingly, the subsurface lesion appears well
demarcated by the scattered light under
transillumination as the thin layer of enamel -if it
ever exists- will not distort light and rather appear
transparent.
The case here may be simulated to a hand moving
away from a frosted piece of glass, special
resolution degrades precipitously the more the
hand moves away from the exit surface (Picture 1)

The use of transillumination and visual
examination in the elaboration of a
topographic classification of enamel
white lesions.
As suggested by Denis, a white lesion may
present different locations. It may be deep,
superficial, or both combined in one lesion.
Based on the optic law that defines enamel
hypomineralization and sound enamel, we
have set forth the new White Spot topographic
classification (WSTC) based on visual examination
and transillumination.

Superficial lesions
Regarding the optical properties of the enamel,
the incident light transmitted towards the lesion
is directly reflected to the eye and when it is
superficial since reflected light is not dispersed nor
distorted; thus, the lesion appears white.
Nevertheless, depending on the thickness of the
lesion, the appearance may differ. Thin superficial
lesions are slightly whiter than sound enamel
making the lesion hardly distinguishable from it
and can only be detectable only after a prolonged
air drying.
On the other hand, when the superficial lesion is
quite thick, the considerable difference in refractive
indices between sound and porous enamel yields
to intensely white lesions easily visible even on a
wet surface.

Figure 1 The Hand behind Frosted Glass_ The More it Moves away From the Glass, The more Blurry it Appears
Dental News, Volume XXIV, Number IV, 2017

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In transillumination the lesion absorbs light, transmitting
the light beam entirely when it is thin and thus yielding a slightly
opaque appearance with less-pronounced edges.
This process is yet reversed in cases of thick lesions
which appear quite darker as they prevent the passage of light.
The poor light dispersion through these superficial lesions gives
appearance of a roughened white spot within well-demarcated
margins [Fleming et al., 2004].

Deep lesions
Due to their topography, deep lesions differ from superficial ones.
In fact, a hypomineralized lesion is covered by enamel. Optically,
the incident light beam passes through the translucent sound
enamel, reflects at the lesion site, re-crosses through the
translucent sound enamel coating, scatters then it re-emits from
the surface back to the eye.
Light-penetration and light-scattering through sound enamel
gives forth a creamy and yellowish appearance, a criterion
of deep lesions. In transillumination, a more complex optical
phenomenon takes place.
When the hypominerelazied lesion is covered with translucent
sound enamel, the latter disperses the transilluminated
light away from the enamel opacity, which, as a result,
appears poorly defined and fuzzy [Jälevik and Norén,
2000]. Besides, the deeper is the hypomineralized enamel,
the more important is the scattering and the fuzzier the
lesion would be [Fleming et al., 2004; Kersten et al., 2006].

Mixed lesion
Topographically, part of the lesion is deep and another part is
superficial, which makes both characteristics present clinically
and under transillumination.

Clinically the lesion takes on both a white and creamy
appearance
showing
a
heterogeneous
aspect
in
transillumination. Depending on the topography of the lesion,
poorly defined edges tend to occur with the clearly demarcated
ones at parts of the same lesion.

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20
Oral Pathology

Figure 1: Schematic Description of Enamel Lesions
According to the WSTC:
A: In Hypominerilized Lesions, the changes of
refractive index, the light is thus deviated at each
interface and reflected, becoming imprisoned in an
“opticalmaze” that is over-luminous and therefore
perceived or seen as white and opaque by the
eye on account of the excess brightness which
depends of the thickness of the lesion in cases of
Superficial Lesions.
B: In cases of deep lesions, the hypomineralized
lesion is covered by enamel. The incident beam
light passes through the translucent sound enamel,
it is reflected at the lesion, then re-passes through
the translucent sound enamel and re-emerges
from the surface to the eye with a creamy to
yellowish appearance.

C: Mixed Lesion show a part of the lesion is deep and
another which is superficial. Then both characteristics
of deep and Superficial Lesions are present on visual
examination and under transillumination.

These observations can be easily concluded when
a tooth shows a mixture of deep and superficial aspect or when we remove the superficial
layer of enamel to transform deep lesions into
superficial ones.
Moreover, the degree of opaqueness reflects the
degree of hypomineralization, i.e. the degree of
porosity, implicating that the more opaque the
enamel appears in incident light, the more porous
it is since porous enamel scatters light more than
does sound enamel [Villarroel et al., 2011].

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Oral Pathology

Classification
Based on all the already-cited information, in
wet conditions, meticulous visual examination,
the white intensity as well as limit-and-opacity
features under transillumination of white
lesions have served as reference to develop this
topographic classification.

Three types of enamel white lesions were
proposed. As a consequence, all the etiologies
responsible of the enamel hypomineralisation are
unified. After analyzing and studying more than
a hundred forms of white lesions in our dental
department, we found out that they may fall
under one of the categories regrouped in table 1.

Conclusion
The choice of the basic range of appropriate
treatments existing today, erosion/infiltration
and/or micro/mega-abrasion will then be much
easier as the dentist who is now capable of
estimating the 3-d image of the lesion. And based
on the optical properties of sound and hypominerilzed enamel, we have managed to set forth a
new topographic classification for enamel lesions
which allows us to choose the best non-invasive
treatment with a fairly predictable result.
Dental News, Volume XXIV, Number IV, 2017

The classification comes exclusively with a purely
therapeutic goal as it clinically guides us towards
the appropriate treatment option for each lesion
based merely on its topography.

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Recently, nineteen dental
technicians from all
over the world and one
dentist from the Czech
Republic convened at the
International Center of
Dental Education (ICDE) in
Vienna. They were invited
by Ivoclar Vivadent to
take part in a very special
educational session,
where they were given the
opportunity to compare
their expertise with
other seasoned dental
professionals. The title of
the challenge was “One
aim, three solutions”; the
material they would be
using was IPS e.max.

At this unusual event, twenty participants were
asked to treat a real patient by using three
different treatment approaches. At the end of the
session, the patient had to decide which type of
restoration she preferred: the IPS e.max® CAD
restoration made with a chairside method and
completed by the dentist; a conventional CAD/
CAM-fabricated restoration; or a restoration
made of IPS e.max Press. The attending dentist
and representative of the chairside approach,
Dr Petr Hajný looked like he was going to break
out into a sweat once he fully understood the
implications of this challenge. The contenders
were not to be underestimated. His preliminary
work and the needs of his patient would set the
standard for his fellow contestants (Figs 2 to 3g).
In actual fact, the task turned out to be more
complex than was initially anticipated.
A wide array of fabrication options was available. The participants were able to choose
between IPS e.max CAD (lithium disilicate);
highly translucent IPS e.max ZirCAD (zirconium
oxide) either in monolithic or anatomically
reduced form, ground or milled; or IPS e.max
Press full-contour or anatom-ically reduced
pressed and subsequently stained/veneered
restorations; or a combination of all these
Fig 1

Figure 1:
Before the case is presented,
Hannes Meischl, Technical
Trainer of the ICDE in Vienna,
describes the dental laboratory procedure and the available
materials and equipment.
Figure 2:
Diagnosis according to photos
in a design software
Dental News, Volume XXIV, Number IV, 2017

versions. The choice was extremely wide because
of the exceptional versatility of the all-ceramic
product portfolio of Ivoclar Vivadent (Fig. 4).
For those of you who ﬁnd your head spinning at
the thought of all these possibilities, you will be
relieved to know that the solution actually turned
out to be quite simple.
This contest offered a number of possibilities
for comparing different methods, such as the
CAD/CAM and the conventional fabrication
techniques, and analyzing them according to
a number of critical aspects. Nevertheless, the
patient would be the deciding factor in this
challenge. She would be the one who would
make the ﬁnal decision, irrespective of whether
the restoration was fabricated chairside, stained,
veneered or fabricated with the conventional or
CAD/CAM technique.
Which group would get the job done ﬁrst? The
conventional or the CAD/CAM representatives?
The dental technicians or the dentist? And at
what esthetic price?
All these issues would be addressed and the
debates over many different matters resolved.
Fig 2

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Prosthodontics
Could the simplest restoration perhaps be the
most attractive one? How important is the
number of powders and colours that are used?
What is the signiﬁcance of the shape and
surface structure of the restoration for the overall
esthetics? How important are listening skills to
ﬁnd out what the patient really wants?

In any case, the event offered the participants
a wonderful opportunity to ﬁnd out all the
answers to these questions and more from
the most important person in this case: that is,
the patient. Now, let’s join the contestants at the
ICDE in Vienna (Fig. 5) and accompany them on
this exciting journey … (Figs 6 to 41).

Fig 3

A

B

C

E

D

F

G

Figure 3: Dr Hajný shows photos of the preoperative situation. He highlights the esthetic failings of the old restorations on
the central incisors. In order to enhance the esthetic appearance of the new restoration, the patient agrees to have tooth
12 and 13 and tooth 22 and 23 included in the restorative treatment strategy.
The three groups – conventional laboratory, CAD/ CAM laboratory and CAD/CAM chairside – are allocated a specific time
in which to fabricate the all-ceramic restorations for teeth 13 to 23. The old crowns are removed from tooth 11 and 21.
Tooth 11 is shown to have been restored with a metal root post in the past. Dr Hajný masks the post with opaquer to
adjust the shade.
Fig 4

Fig 5

Figure 4: The materials portfolio from Ivoclar Vivadent
is immense. Therefore, the selection and combination
possibilities are extensive. While this stage is easier for the
conventional group, since they are using IPS e.max Press
and the associated ingots, the CAD/ CAM team should
also be thinking about using monolithic and individually
characterized IPS e.max ZirCAD zirconium oxide
restorations.
Dental News, Volume XXIV, Number IV, 2017

Figure 5: Ready, steady, go: At ten o’clock sharp the
participants are allowed to see the models of the case.
These include a study model of the provisionally restored
upper jaw and a silicone matrix, a saw-cut model of the
prepared upper jaw as well as model of the lower jaw.

30
Prosthodontics
Fig 6

Figure 6: The CAD/CAM laboratory group has selected the
digitalized situation and generated the case in the system.
In other words, the teeth to be restored and the restorations
have been defined in the software. The picture shows
Davor Markovic studying the case.
Fig 8

Fig 7

Figure 7: The dental technicians provide the photographer
with a lot of very interesting material. The dies are prepared
for the creation of the restorations and the silicone matrices
have been adjusted accordingly.

Fig 9

Figure 8: The patient is prepared for the digital capturing
of the intraoral data in the practice facilities of the ICDE in
Vienna. Dr Petr Hajný, the dentist, and Vjekoslav Budimir,
the dental technician, prefer to pursue a digital approach.
As a result, scans are conducted with two different systems.

Figure 9: Dr Petr Hajný and his assistant scan the patient’s
jaw with the CEREC Omnicam (Dentsply Sirona), an intraoral dental scanner which, like the Trios machines (3Shape),
does not use powder. He takes advantage of chairside
workflows to design the crowns and mill them from IPS
e.max CAD MT A1.

Fig 10

Fig 11

Figure 10: CAM software of the Wieland Zenotec select
CAD/CAM system with the IPS e.max block in the block
holder

Figure 14-17: The modelled crowns, reduced crowns and
frame-works are conventionally invested, placed in the preheating furnace, pressed, divested and then completed.
The participants are well-versed in this technique and
achieve the desired results in no time at all.

Fig 19

Dental News, Volume XXIV, Number IV, 2017

Fig 20

Figure 19-20: Manual
finishing techniques:
Velimir Žuji´c sprinkles
dentin powder on
an IPS e.max Press
framework that has
been coated with
IPS Ivocolor® Mixing
Liquid allround. In the
wash firing cycle, the
bond is reinforced
and produces a
sound base for the
subsequent ceramic
layers.

Fig 21

Figure 21: Irrespective of whether a conventionally or
CAD/ CAM-fabricated framework is used, these types of
restorations, in contrast to monolithic ones, have to be
manually layered and fired multiple times.

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34
Prosthodontics
Fig 22

Fig 23
22

A

B

Figure 22 A,B: From the computer to the hand: Some of
the technicians of the CAD/CAM group decided to choose
the monolithic route. Nevertheless, they are doubtful
about being able to outcompete the manual group. They
would have to wait until the end to find out if their doubts
were justified.
Fig 24

Figure 23: Dr Petr Hajný adds fine surface details to his
milled lithium disilicate crowns before he finalizes them in
a modified crystallization and glaze firing cycle. His chosen
workflow makes him the fastest contestant and leaves him
with enough time to take care of other business.
Fig 25

A

B
Figure 24 A,B: The press technique is also highly efficient
when the restorations are pressed to full-contour and then
minimal layers are applied to add fine details. Since only a
minimum amount of layering ceramic is applied, there is
hardly any shrinkage and the results are highly predictable.

Figure 25: The contestants in the conventional group
brought out the best in the IPS e.max materials. Here, one
of the participants builds up the incisors to full contour on
IPS e.max Press MO frameworks.

Fig 26

Fig 27

Figure 26: Technical talk: Three members of the
CAD/CAM group visit a colleague from the conventional
group for a chat.

Figure 27: Checking the length and alignment of the allceramic crowns in the articulator. The marks on the wax-up
serve as a guide. It’s difficult to believe that all these steps
can be accomplished by a machine.

Fig 28

Fig 29

Figure 28: Analog version of the try-in. A good first
impression was obtained by just fooling around.

Figure 29, 30: Ondˇrej Adam hard at work. In order to faithfully
recreate the translucent edge of the lower front teeth
in the upper jaw, he completely veneers the upper
incisors. The result after the first firing cycle is shown in the
picture.

Dental News, Volume XXIV, Number IV, 2017

Fig 30

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Figure 31-36: Not to worry, the members of the CAD/CAM group arenâ&#x20AC;&#x2122;t spending all their time staring at their computer
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Fig 37

Fig 38

Figure 37: Mission accomplished: Helmut Berger has
incorporated his virtual creation into the picture of
the patient in order to check the length and
alignment of the teeth.

Figure 38: The day has come to an end and the excitement is
palpable. Due to the large number of entries, the panel of
experts including Christian Smaha (centre), a recognized
Viennese dental technician, is consulted to help with the
shortlisting process.

Dental News, Volume XXIV, Number IV, 2017

38
Prosthodontics

Fig 39

Fig 40

Fig 41

Figure 39-41: And the winner is â&#x20AC;Ś the Slovakian dental technician Martin Ebringer
from the conventional fabrication group. The patient immediately fell in love with his
crowns. They are sparingly layered. Martin Ebringer focused on imitating the surface
characteristics and the tooth shape. When he was asked about how he had managed
to produce such a fantastic result, he simply said that he had talked with the patient
and tried to create what she wanted: in other words, very bright, monochromatic teeth.
Consequently, he tried to impart the teeth with a natural appearance by incorporating
morphological details.

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Dental News, Volume XXIV, Number IV, 2017

ÂŠ 2016 Ultradent Products, Inc. All Rights Reserved.

40
Orthodontics

Updating the CA Clear Aligner Therapy
Pablo Echarri, D.D.S.
Director of the Master in
Orthodontics and Dentofacial
Orthopedics of Athenea Dental
Institute, San Jorge University,
Spain
President of the Iberoamerican
Association of Orthodontists
Chairman of the congress of
the World Society of Lingual
Orthodontics

Abstract
In this article the author explain the particular
characteristics that makes the CA Clear Aligner
system different that the others as well as the
special tools that allow the clinicians to reduce
the treatment time and increase the effectiveness of the therapy.
Keywords: CA Clear Aligner, Screws, Pliers,
Power grip

Actually CA Clear Aligner through CA Digital
offer a complete solution for the doctors that
want to digitalize their offices. In fact from one
scan (directly from the patient with an intraoral
scanner or scanning the plaster models), the CA
Digital software can offer:
Fig 1

In this article the author will focus only in the CA
Clear Aligner Therapy characteristics due to the
extension of this paper.

Characteristics of the CA Clear Aligner Therapy
1- CA Clear Aligner prepare 1 to 3 steps from
one digital or traditional impression
As we don’t manufactures all the aligners from
the first impression, we can:
Fig 4

• Make the control of the treatment periodically and not only
at the end of the treatment. This characteristic allow us to
reduce the treatment time and avoid the final refinements of
the cases. The system is a continuous control of the evolution
of the case called PTMA (Plan - Treat - Monitor - Active) that
means that we active the treatment according to the evolution
of the case. Also we can adapt the treatment to the possible
relapse due to the fault of use of the aligners, adapt to the
changes in the mouth during the mixed dentition and to the
stripping changes.
2- We use three different thickness of aligners
One step includes 3 aligners adapted to the same set-up but
with different thickness (soft, medium and hard) that activates
the treatment every week. As we change the aligners every
5 to 7 seven days according to the individual evolution, we
maintain a good range of dental movement.
3- CA Clear Aligners cover 2mm of the gingival tissues.
In 2013, in the University of Nevada, they published that
the aligners with no attachment and scallop margins has
significant less retention. Less retention means less anchorage
and less effectiveness in the dental movements. Covering
2mm of the gingival tissues we increase the aligners’ retention

44
Orthodontics
without the use of attachments. On the other
side, the Clinical Center of Munich demonstrated that the extension of the aligners get less inclination in the dental movements because the
force application is near of the dental center of
rotation. In this way we get a better effectiveness of the movement but as the changes in the
soft tissues are not so predictable we can not
prepare all the aligners from the first impression.
4- We use a lot of tools or aids in the
CA Clear Aligner Therapy to reduce the
treatment time and increase the efficiency
of the appliances.
a- CA Vector Screws for transversal
expansion (anterior (CA Vector 40), posterior
(CA Vector 50) or lateral-oblique (CA Vector
30)), Screws for distalization (CA Distalizer Kit), to
Fig 9

close spaces (CA Tractive Screw) and for individual
movements (Piston Screws).
b- CA Tip Pliers. We have 4 cold pliers to activate the aligners (1- to increase the retention, 2for activation points, 3- for inclination activation,
4- for torque activation).
c- CA Power Grip. We have 9 different shapes
to increase the effectiveness of the treatment
(1- for forced extrusion and forced ; 2 and 3 for
mesio-distal angulation; 4 and 5 for torque
control; 6 and 7 for posterior build-ups and 8 and
9 for anterior build-ups),
d- plastic buttons as anchorage for elastics
To complete de system we have another tools like
stripping kits, etc.
Fig 12

Fig 10

Fig 13

Fig 11

Case Report
In the pictures 1 to 5 we can observe a case with
good occlusion of the posterior teeth but with
crowding and rotation of the anterior teeth. The
case was treated in 6 steps/months of treatment
with stripping.
In the pictures 6 to 8 we can observe the CA
Clear Aligner covering 2mm of the soft tissues
and in the pictures 9-13 the stripping performed
with the Progressive Stripping Technique.
Dental News, Volume XXIV, Number IV, 2017

In the following pictures we can observe the
evolution of the case step by step:
• pictures 14 to 18, Progress 1
• pictures 19 to 23, Progress 2
• pictures 24 to 28, Progress 3
• pictures 29 to 33, Progress 4
• pictures 34 to 38, Progress 5
The final pictures can be observed in the pictures
39 to 43 and the fixed retention in the pictures
44 to 48.

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Conclusions
The CA Clear Aligner is a complete system that includes
individual characteristics that makes the difference with other
systems. The system also includes special tools, like screws,
pliers, plastic buttons and power grip that helps in the
reduction of the treatment time and the effectiveness of
the therapy.

Dr. Nicolas Rohde
2002 Business graduate
2005 – 2003
International Business
Development at Hopf, Ringleb &
Co (HORICO)
2010 – 2005
Work at the Institute for
Management at the Free
University Berlin, degree Dr. rer.pol.
2012 – 2011
Management HORICO North
America LP
2015 – 2012
Vice President Digital Dentistry
Systems at the
Biodenta Group
Since 2016
Division Manager - Head of
Digital & International Division at
DT&SHOP GmbH

Manfred Bildhäuser
1981 – 1976
Training as dental technician
2005 – 1982
Active in all fields of dental
technology, in commercial
laboratories as well as
practice laboratories
2013 – 2005
Own dental laboratory in Fulda
Since 2014
Technician in the DT&SHOP
milling centre

Whereas production times with zirconium of
up to 14 hours are no exception, aesthetically
appealing composite crowns can today be
created within 35 minutes and only require
minimal post-polishing.
The CAD/CAM experts of the renowned
laboratory partner DT&Shop know all
about the benefits of fast, high quality production and how to keepdental
laboratories competitive in the long run.
In this interview, Dr. Nicolas Rohde, Head
of Digital & International Division, and
dental technician Manfred Bild-häuser
explain what is possible in the field of CAD/
CAM with state-of-the-art materials research.
Dr. Nicolas Rohde is well acquainted with the
notion of speedy deliveries. The fast implementation of demanding customer orders is the
daily agenda of the leading mail order company
for dental laboratory equipment. Eight dental
technicians produce highly aesthetic prosthetics
for the company‘s numerous customers in the
in-house milling centre.
No wonder the enthusiasm for the novel
CAD/CAM composite blocs, for example the
BRILLIANT Crios submicron hybrid composite from
Swiss dental specialist COLTENE, knew no bounds.
The flexible all-rounders make life considerably
easier for CAD/CAM production and are notable
for their rapid polishability, among other things.

Question: “Dr. Rohde, it is difficult for
dentists to bypass composites in classical
filling therapy. Now this versatile material
is also entering the arena of CAD/CAM
technology. Is composite the new ceramic?”

Dental News, Volume XXIV, Number IV, 2017

Dr. Rohde: This depends entirely on the indication!
Indeed, the CAD/CAM composite blocs currently
available on the market bring with them a number
of excellent ma-terial properties. In many cases it is
possible to create visually attractive results from this
flexible material in virtually no time. Long sintering
or crystallising of other dental ma-terials can be
eliminated completely. After oughly 35 minutes, the
milling machine produces virtually finished crowns,
partial crowns, inlays, onlays or veneers. Due to the
high intrinsic gloss of high performance composites
such as BRILLIANT Crios, brief polishing is all that
is required. This allows fabrication of a top quality
restoration within one hour.

Q: “How did you find out about the reinforced
composite blocs?”
Dr. Rohde: Based on our long-standing experience
in milling, COLTENE asked us to grind a number
of restorations from the material for their acrylic
models. Amazingly, of the 700 units which we
produced in record time, there was not a single
restora-tion which did not leave the CNC machine
in perfect condition. After this convincing result
we immediately included BRILLIANT Crios in our
portfolio and are already han-dling first enquiries
for the novel material.

Q: “What can composite do which traditional
CAD/CAM materials can’t?”
M. Bildhäuser: Above all, the marginal stability of
BRILLIANT Crios is extremely high. Compared with
glass ceramics, the high performance composite is
ideally suited for inlays or onlays requiring extremely
thin walls. We also use the flexible material in all
cases where preparation was not so good.

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58
Restorative Dentistry
Dr. Rohde: From my days in implant dentistry,
I know that removing part of the dental fibres
for dentures with implants often leads to a lack
of the natural damping effect of the ligament
in the jaw. This makes it extremely pleasant for
patients, if the crown itself has a slight damping
effect. Many users have reported on the high
wear comfort of composite based restorations.
The dentine-like modulus of elasticity provides
for a natural chewing feeling and is gentle on
the opposite tooth at the same time.

Q: “Where exactly is the specific
advantage in processing, Mr Bildhäuser?”
M. Bildhäuser: I was amazed at how easy
the novel material could be smoothed and
polished. There are no interfering inclusions of the
polishing paste and post-processing takes next
to no time, be it for monolithic crowns, onlays or
veneers, whereby we use a compact wet grinding machine also used by many of our customers.
This is not difficult to reproduce even for smaller
laboratories: for example, the Finocam W is an
inexpensive wet grinding machine which often
delivers better results than far more expensive
chairside CNC machines.

Q: “What needs to be observed in general terms when processing CAD/CAM
composite blocs?”
M. Bildhäuser: Of course every technician has
his own style. A somewhat slower speed is
generally recommended for composite. It is
important to apply only little pressure on the

material. And as the processing time is short
anyway, one can take a more relaxed approach. Of
course, with a new material one always needs to
first try out the pressure effects of the grinding tools.
After one to two units, processing is possible with
comparatively little effort. The final finishing and
polishing is separated from the carrier with a thin
disc. I then smooth the surfaces with a soft rubber
polisher. For further processing I use the DIATECH
ShapeGuard from COLTENE, this adapts perfectly
to the respective surfaces. This is followed by
meticulous post-polishing with the margin
polishing paste and finished!

Q: “Which material is currently in particularly
high demand in laboratories?”
Dr. Rohde: Zirconium remains the gold
standard in the industry, last not least because of its
favourable price structure. At approximately 25
units per blank, the circular blank is certainly in
a different price category than the conventional
blocs for chairside grinding systems. At the same
time, zirconium has a convincing flexural strength
of over 1,000 megapascals. At approximately 600
megapascals the value is of course somewhat
lower for highly translucent pieces.
On the downside, zirconium needs to be sintered
for a very long period to achieve an aesthetic
solution. 14 hours for production is quite common.
When using CAD/CAM composite blocs we can
process orders from laboratory customers quicker
as the firing process is eliminated. If we have the
data by 3 p.m., our milling centre can generally
deliver on the same day.

Q: “Who benefits most from rapid processing?”
Dr. Rohde: If the dentist has a CAD/CAM device in the
practice, a crown can be produced within an hour and be fitted
during the same session. The patient saves the need for a second
session and is pleased by the immediate treatment. Also in the
laboratory, production only takes one hour, in other words:
the patient can have his dentures a few days later which is still
considerably faster than in the past.

Q: “...does this mean there are no limits to patients‘
demands?”

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M. Bildhäuser: Today, patients obtain extensive information
via the Internet on various indications and the treatment
methods available. This increases the wish for highly aesthetic
restorations and patients do take a closer look. In view of the
marked quality awareness of many customers, one is of course
delighted to deliver work to laboratories distinguished by a
fantastic gloss.

Q: “Dr. Rohde, how has the competition from the
Far East changed the domestic laboratory market in
your opinion?”
Dr. Rohde: As leading mail order company we export to over
100 markets and monitor the development in Europe with mixed
feelings. The pressure on margins is no doubt increasing if d
entists outsource their laboratory work more and more to India
or China. Investment into CAD/CAM technology is therefore a
good approach for the individual dental laboratory: machine
fab-rication largely eliminates the intermediate labour-intensive
steps, making production costs competitive again. Usually the
unit labour costs are the deciding factor in the calculation.
M. Bildhäuser: Add to this that the starter models for CAD/
CAM have meanwhile become affordable, together with a
manageable learning curve. In the past you more or less had
to be an engineer to operate the devices, these days dental
technicians attend one of our training courses at the beginning,
the rest follows automatically.

Q: “And finally: what properties would you want the
dental material of the future to have?”
Dr. Rohde: (laughs) The all-in-one solution for every purpose
would be a material with the flexural strength of zirconium,
the aesthetics of e.max and the processing characteristics of
composite, but we place our trust in the inventiveness of the
manufacturers. The amazing development of modern high
performance composites over the past years would suggest that
it is not only processing time in the laboratory which will undergo
rapid progress. And we would be pleased to actively support
easing the work burden for dental technicians.

Dental News, Volume XXIV, Number IV, 2017

62

DMG officially opens their
Dental Training Center
Training under real conditions, with all the
required space and equipment: This is what
the new Dental Training Center is intended to
provide. Accordingly, the DMG site in Hamburg
has premises with equipment for almost any
purpose: three seminar rooms for almost
100 people, 10 digitally equipped simulation
workstations with equipment for dentist and
dental technician, a professional treatment unit,
OmniCam, Cerec-InLab, a high-performance 3D
printer, innovative media technology and more…
Official opening with distinguished guests
On September 11, the new Dental Training
Center was officially opened: An event put on
by the Study Group “StyleItaliano” made for the
perfect setting for the premiere. The international
network of respected esthetic experts was paying
DMG a visit in Hamburg for an exclusive two-day
workshop.
The ambitious, English-language agenda had lots
in store: Veneer specialist Prof. Stefen Koubi from
Marseille University demonstrated how using the
right technology allows function and esthetics to be
combined perfectly. The potential of micro-invasive
infiltration therapy and modern dental photography
was elucidated by Prof. Louis Hardan from
St. Joseph University.

Dental News, Volume XXIV, Number IV, 2017

“

The intention was now

to be “free from all limitations”
when it comes to teaching
knowledge and skills.

”

The future of dentistry is now
Every opening deserves an official ceremony. And so on the day of
the premiere, the golden ribbon was symbolically cut, accompanied
by words from DMG Directors Dr. Wolfgang Mühlbauer and
Susanne Stegen. Dr. Mühlbauer emphasized the importance of
first-hand personal training sessions for successful practical
application. And Susanne Stegen summed up the motivation
behind the investment: The intention was now to be “free from
all limitations” when it comes to teaching knowledge and skills.
The Dental Training Center provides the perfect conditions for this.
The eventful day, representing a strong commitment to
future-oriented training, eventually came to an end with all
participants meeting for dinner at the Hamburg Business Club.

External institutions will also be able to make use of the DMG
Dental Training Center for events in the future. For related inquiries,
please contact: fortbildung@dmg-dental.com

Ormco is part of Danaher Dental Platform and specializes in the field of orthodontics.
After the success of the first symposium in 2016, Ormco organized its 2nd symposium in
Bengaluru on Sep 17th and 18th on the theme of “Simplified Orthodontics”.

“

There were 2 international and 4 national speakers in this program. Dr Jean Rene Van Becelaere
presented his lecture on “Important Basics to Master the Damon System and Prepare the Best
& Easiest Finishing”. Dr Dimitrios Mavreas lectured on “Torque Selection for Excellence in
Finishing”. Among national speakers were Dr C S Ramachandra, principal & HoD Maruthi Dental
College Bengaluru; Dr Gurkeerat Singh, Prof & HoD S R Dental College Faridabad; Dr Abhisek
Ghosh from Kolkata and Dr Aravind M, Reader at KLE Institute of Dental Sciences Bengaluru – all
presenting various simplifying techniques for modern day orthodontic practitioner.

This event saw

an attendance of 270+
from across the country.

”

Dental News, Volume XXIV, Number IV, 2017

This event saw an attendance of 270+ from across the country. The symposium was preceded
by Damon Bonding Workshop, held at RV Dental College & MSR College, conducted
by international speakers and saw a participation of more than 100 participants. This event
also had an e-poster campaign where post-graduates from various colleges participated and
presented posters related to the theme of the event. Top 3 winners got a citation from Ormco.
The delegates’ feedback on the quality and content of the program was excellent.

‫‪Photo from the Opening Ceremony with Wali of Marrakech and President Jerrar‬‬

‫‪Dental News, Volume XXIV, Number IV, 2017‬‬

Respects your needs.
Today and tomorrow.

Implantmed with wireless foot control
for ease of operation.
More space, more control, more safety:
The new wireless foot control offers
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The 9th edition of the Dental Facial Cosmetic Conference/Exhibition (#DFCIC) organised by CAPP covers all the current
trends in aesthetic dentistry and gives dental professionals more insights into the latest technologies.
The dental conference programme is designed by dentists for dentists, sharing the dental knowledge and insights
that dental professionals need. The result of research with dentists and input from across the dental profession, the
conference programme provides the latest thinking in dentistry, delivered by some of the best speakers in the business.
The main purpose of this dental event is to examine the concept of the dental dentistry, its advantages and limitations,
and make statements and observations on specific areas of aesthetic dentistry based on research, direct personal
experience, and communication with dental manufacturers and clinicians worldwide. It is intended to provide a practical
view of aesthetic dentistry, a stimulus for greater adoption of the areas that are proven, and faster integration of new
technologies from which the dental profession can benefit.
Additionally, this conference is a path breaking opportunity for professionals to exhibit their paramount research
through Poster Presentations and discuss it with the exalted scientists.
The event took place from 03-04 November 2017 at the Intercontinental Hotel Festival City in Dubai. During the event,
CAPP Dental Education Academy features pre and post hands-on courses from 01 – 05 November in various disciplines.
9th Dental Facial Cosmetic Conference/Exhibition Features:
• Educational sessions with industry experts
• Dental Hygienist Seminar (DHS)
• Poster Presentations
• Pre and post hands-on courses with industry experts
• Face-to-face appointments with suppliers of your choice
• Networking opportunities with industry peers and supplier representatives
Dental News, Volume XXIV, Number IV, 2017

VITA ENAMIC has been an established solution for functional restorations since 2013.
The successful material attracted attention
at the IDS 2017 focusing on highly esthetic
solutions. The unique structural design and all
the associated advantages are retained without
any modification: a porous pre-sintered fine
structure feldspar ceramic block (86% wt%)
is infiltrated with a polymer (14 wt%).
This produces a robust and user-friendly CAD/
CAM material that is quick and easy to process.
Prepare and polish â&#x20AC;&#x201C; done! No firing in the oven
is required and individualization with composite
is possible at any time. These are great features
for labs and dental surgeries from an economic
perspective. Integration takes place adhesively
with hydrofluoric acid etching and silanation,
analogous to feldspar ceramics.

Fig. 1: VITA ENAMIC multiColor: All practical and clinical
advantages of VITA ENAMIC are now also available with
an integrated natural color gradient in six finely nuanced
layers, from neck to incisal.

restorations for front and side teeth. Esthetic
rehabilitations can be conducted faster and
easier in the digital workflow, making them
more interesting for a larger patient group.

Clinical advantages for patients
The dominating ceramic component in the dual
network structure ensures stability and esthetics,
while the interacting polymer network
facilitates a dentin-like flexibility for absorption
of chewing forces as well as stopping crack
development at the ceramic interfaces.
Chipping and fractures are prevented. In
minimally invasive or non-invasive restorations,
the material can be ground thinner than pure
full-ceramic CAD/CAD materials. Patients and
clinicians report high wearing comfort due to
the damping action. Patients with functional
problems requiring total reconstructions can in
particular profit from thin material layer thicknesses and the absorption of chewing forces.
The shock-absorbing effect is also advantageous for implantology purposes since no elastic
fiber apparatus is involved. The ability of VITA
ENAMIC to absorb forces helps to compensate
the rigid ankylotic anchorage of the implant.
This relieves the bone, spares the antagonist and
supports long-term success.

High esthetics without individualization!
Highly esthetic versions of all the familiar
advantages of VITA ENAMIC have been
developed: a new integrated natural color
gradient in six finely nuanced layers, from neck
to incisal, is now available. The result is VITA
ENAMIC multiColor! Even without individualization, this material with dual network structure
ensures highly esthetic monolithic single-tooth

Left to Right: Deans, Mansour Assery, Thakeb Shalan, Abdullah Shammery,
Fahad Al Qahtani, Saleh Shamrany, Fahad Al Harbi
We are celebrating today the achievements of two young
establishments that have worked hand-in-hand and put tremendous
efforts to see this day. The two young establishments are: The

â&#x20AC;&#x153;Excellence in Dentistry Educationâ&#x20AC;?. This conference aims to be
the first cornerstone in advancing dental education through
recruiting international and local experts as well as channeling

Saudi Dental Education Society, established recently, and the
College of Dentistry at Princess Noura University, which has
just graduated its first batch of 30 female dentists this last
summer. We started with a dream; a dream to design a unique
academic program that best serves the medical field by
graduating distinguished professionals who could compete locally
and internationally.
The journey to realize our dream has gone through many phases,
as mentioned in the presentation this morning. But the results,
thanks to Allah, have exceeded our expectations. That took years
of team-effort, hard work and exemplary dedication. The change
in dental education we have aimed to impact has not been easy
to implement. The question has always emerged: Why Change?!
But incredible efforts were exerted to support our faculty in
recognizing and accepting the rationale behind the sought
change, and participating in developing and tweaking modern
theories of medical education to suit dentistry education.Through
that challenging process, the need to establish this society has
become exceedingly apparent. We have come to realize how
educators and trainers in the field of dentistry whether in college
or other institutions are eager for new approaches to teach
dentistry. This was further confirmed in the workshop and
seminars organized by the founding committee of the society.
So we are very honored today to welcome you in our First
Conference of the Saudi Dental Education Society entitled

networking among interested parties in the kingdom.
The Vision of society is to be the regional reference for outstanding
Dental education its Mission is to support and develop
academic dental education for institutes and members, ensuring
the promotion and development of oral and dental health
service for individuals and society. In view of our mission, we
would like to take this opportunity to announce the launching
of a dental education award to honor those who have greatly
contributed to its advancement. Moreover, the association is in
the process of launching several short and long programs which
will be open for admission soon. To realize the societyâ&#x20AC;&#x2122;s vision,
this conference is held in collaboration with a young college of
dentistry that has a uniquely developed curriculum, namely the
college of Dentistry at PNU. Next year, we are proud to announce,
our second conference will be organized through collaboration
with a senior college that has excelled in dental education.
The purpose is to enrich our experience by including different
perspectives through different sets of practices.

Dental News, Volume XXIV, Number IV, 2017

Once again, I am very pleased to welcome you all on behalf of
the Saudi Dental Education Society and the College of Dentistry at
PNU and wish you an enriching and illuminating experience.

Dr. Ebtissam Al-Madi
Dean College of Dentistry, Princess Nourah University

A healthier mouth with the new Philips
Sonicare DiamondClean Smart
Royal Philips announces the launch of the Philips Sonicare
DiamondClean Smart toothbrush, offering patients complete
care for a healthier mouth.

To address all patients oral care needs for a healthier mouth, the
Diamond-Clean Smart features three brush heads that promise
a more precise and tailored clean.

With personalized coaching and feedback, an intuitive brushing
experience, to new high performance brush heads, the
DiamondClean Smart helps eliminate any guess-work and guide
them to improve their overall technique; giving patients more
confidence they will achieve a complete clean every time. In fact,
95% of those surveyed agreed it’s the most effective product
they’ve used for building healthy brushing habits.
“Connected technology is key to motivating patients to learn
more about their oral health and how they can achieve better
results. The new Philips Sonicare DiamondClean Smart is our
best and most complete brushing solution ever, using industry
leading smart sensor technology combined with the heritage
of the DiamondClean range. For the first time it allows dental
practitioners to help their patients’ achieve multiple oral health
goals while monitoring their progress; ultimately to achieve
better longer-term care.” (Rachael England-President of Emirates
Dental Hygienists Club)
The new DiamondClean Smart connects to the Philips
Sonicare App, giving patients personalized feed-back and
coaching which they can choose to share with their dental
professional. A suite of smart sensors built into the handle
track Location, Scrubbing and Pressure and syncs using
Bluetooth® technology. This allows patients to track brushing
habits to identify trouble spots to help them achieve 100%
coverage for a truly tailored clean. With the Touch Up and
Focus Areas features to guide patients to a better oral care
routine; 87% of users surveyed claimed to be a better brusher
after just one week of use.
Easier to use with a new intuitive brushing experience, the
Philips Sonicare DiamondClean Smart does all the hard work,
using Smart Brush Head Technology and a microchip in the
brush head to prompt the handle to the right mode and intensity
setting, and it even reminds patients when to change their
brush heads.

The new brush heads include:
• Premium Plaque Control: gently contours to your teeth
resulting in four times better surface contact (as compared to
DiamondClean brush head) and removes up to ten times
more plaque (as compared to a manual toothbrush)
in hard-to-reach areas
• Premium Gum Care: a small brush head that reaches the
very back of your mouth to your molars and achieves up to
seven times healthier gums (as compared to a manual toothbrush)
in just two weeks
• Premium White: densely-packed stain removal bristles that
whiten and polish teeth resulting in a five times whiter smile
in three days
Philips Sonicare DiamondClean Smart is available in UAE at
the recommended retail price of 1249 AED. And available
in Kuwait at the recommended retail price of 105 KWD.
The Philips Sonicare app is free to download and available on
iOS and Android devices.
UAE - Castle General Trading Kuwait - Ultramed
Tel: +971 4 3328795
Tel: +965 222 169 50
cgtdub@emirates.net.ae
rosemarie@ultramed-kw.com
Website: www.philips.ae

DIAMOND TOOTHPASTES – A NEW DEVELOPMENT IN DENTAL HYGIENE
Dr. Hans Gaiser, Engineer Kurt Spring, Prof. Dr. Ulrich Peter Saxer
Diamond is the hardest known natural material. In light of its hardness, it
is used for various industrial applications (milling, cutting, polishing, etc.).
In smaller grain sizes, it is also used for
polishing jewelry and the precision
processing of optical and electronic
components. The abrasive proper-

Fig 1

ties of diamond approach zero as its
grain sizes decreases. The capacity of
a substance to have an abrasive effect
on enamel is measured in REA. The
same effect on dentin is measured in
RDA. The RDA values of conventional
toothpastes range from a mild 30 to a
highly abrasive 200 (too abrasive for

Fig 2

daily use) depending on their indication (e.g. for removing tobacco stains
or plaque from sensitive teeth). The
grain size of conventional abrasives
typically ranges from 1 to 100 μm,
with some exceptional cases as large
as 150 μm.

Fig 3

Figures 1 and 2: Equal-magnification comparison of conventional abrasives and diamond powder at a grain size 3 μm
Figure 3: Fine-grained diamond (red) as it is used in dental shaping (equal magnification)

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Fig 4

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Fig 5

Figure 4: Dentin and enamel loss caused by diamond at grain sizes 1.5 μm, 2.5 μm and 4 μm compared to the loss caused by the
abrasives in the biggest selling toothpastes on the market, as measured via profilometry (Attin T., University of Zurich 2014)
Figure 5: Dentin and enamel loss (in micrometers) over the course of 100 years
Dental News, Volume XXIV, Number IV, 2017

Given that many conventional abrasives
tend to be softer than enamel, but harder than dentin, they have a cleaning and
only mildly abrasive effect on enamel
surfaces and an overly abrasive and destructive effect on dentin and cementum,
especially on account of their larger grain
size. They are ultimately responsible for
the common wedge-shaped loss of tooth
substance in the neck of the teeth and
various sensitivity disorders. The concentration (percent by weight) of abrasives
in conventional toothpastes is usually
between 10% and 30%. One particular
advantage of bio-inert diamond powder
is that its grain size and concentration can
be easily adjusted in the context of toothpaste production. Although diamond is

harder than enamel, it does not have an
overly abrasive effect at a grain size of 2
to 3 μm. On the contrary, it enables thorough cleaning without destroying enamel and dentin. The diamond concentration in diamond powder toothpaste is
also minimal when compared to the concentration of abrasives in conventional
toothpastes. At around 20 μm for every
70 years of use, the abrasive effect of diamond powder toothpaste on enamel is
negligible. Moreover, its abrasive effect
on dentin is 70% to 90% less than that
of conventional toothpastes whose impact can measure as high as 700 μm for
every 70 years of use. The advantages
of diamond powder toothpaste include
the preservation of a smooth enamel

surface, reduced hypersensitivity and the
prevention of dental defects, even in the
face of vigorous brushing. The polishing
effects also prevent tartar and plaque formation and help to brighten the teeth.
Diamond powder is bio-inert, meaning
that it will not react with other substances in toothpaste. The advantages have been demonstrated in clinical
studies carried out at universities in the
United States and Europe, and the new
toothpaste has been patented around
the world. Finally, given that diamond
powder does not need to be added to
toothpaste at concentrations as high
as the abrasives in conventional toothpastes, its use as an abrasive is altogether
consumer friendly in terms of its price.

EMOFORM®-F DIAMOND

The first daily whitening treatment
with diamond particles!
The new exclusive EMOFORM®-F DIAMOND formula with very fine diamond particles
gently and deeply cleans the surface of the teeth without irritating sensitive areas.
EMOFORM®-F DIAMOND:
Helps eliminate spots and avoids the formation of dental plaque.
Gently restores the natural whiteness of the enamel and makes teeth
smooth and shiny.
Particularly suitable for sensitive teeth.
Helps protect and strengthen tooth enamel thanks to its fluoride-enriched
formula which prevents cavities.

WHITENING INNOVATION

WITH DIAMOND
PARTICLES

AN EXCLUSIVE FORMULA WITH DIAMOND PARTICLES
suitable for sensitive teeth
Contains diamond particles at least 100 times finer than the abrasive
components used in most bleaching solutions.

MINT
FLAVOUR

Gently and deeply cleans the surface of the teeth down to the finest
grooves in the enamel without irritating sensitive areas (RDA 30). Also
works on composite and ceramic surfaces.
Prevents the formation of tartar by smoothing the irregularities in the
enamel and removing the biofilm. This makes it more difficult for tooth
discoloration to settle on the enamel.

Left to Right: Professors; Nour Habib, Ahmed Farid Shehab, Naguib Amin,
Minister Khaled Abdel Ghaffar, Tarek Elsharkawy, Tarek Abbas, Moushira Salah El Din
Ladies and gentlemen, on behalf of the council of the Egyptian dental Association.
To welcome you all, with special thanks to the Non-Egyptians for taking the burden of
coming over to join us in our celebration by the 80th year of starting the activity of this
Association in serving the dental profession. This is also the beginning of our 18th international dental congress. Hope you all enjoy your stay both academically and socially.
Thank you all and may God bless you all.

EDITORIAL
Ethics vs Social Norms
With the advent in our societ y of the “Hollywood
Smile” concept, as a social norm, the dental
practitioner is left in front of a problematic in
which he has to determine what is right and
what is wrong for the wellbeing of his patient.

The patient comes with a desire. But
what if the ethics of the doctor finds it
unreasonable?
Sometimes it is a tedious job to try to
convince the patient not to undertake
a treatment plan that brings profit to the
office but may not be the ideal treatment
in the eyes of the dentist.
And what if this is the desire of the patient
and the dentist is left under such pressure.
Should he give up and act according to
the aspirations of his patient even though
the treatment may bare a potential harm
to the oral tissues?
The consequences of an act should
determine its rightness and not the act
by itself.
The Dentist should explain to the patient
the possible risks that may arise from such
treatments even though the upfront result
is an enhancement in the esthetics.
Will the dentist go as far as to lose his
patient for another office that offers
“Holly wood Smile” indiscriminately.
This is an Ethical question that arises in
face of the healthcare professional and
he has to always bear in mind that the
consequences of his acts will determine
the well being of his patient in the future
as well as the dentists reputation.

Dr. Tony Dib

tony.dib@dentalnews.com

Should the dentist sacrifice his ethics
under the social norm pressure?
This question is left to everyone of us to try
to give it the right answer.

Dental News Yearbook 2018

Company name: ACCUTRON INC.
Country of origin: United States of America
Website: www.accutron-inc.com
Cantel Medical Corporation acquired Accutron Inc., in August 2016.
The acquisition of Accutron will expand the dental portfolio of Crosstex
International, Cantel’s Healthcare Disposables segment, to include an
additional high quality branded single-use disposable product line.
Accutron Inc., is a leading manufacturer of innovative analgesia conscious
sedation equipment and accessories. For over forty-five years the
company’s single focus has been to design and manufacture high quality
sedation products that assist dental practitioners in relaxing their patients
and making their dental visit a comfortable experience.

Digital Newport™ Flowmeter System
(Ref # 51000)
The Digital Newport™ Flowmeter System has all of the
operating features of the Digital Ultra™ Flushmount
Flowmeter, plus its enclosed 4-cylinder design makes it a
user-friendly portable that can easily be moved from
operatory to operatory.
The ease of color-coded fingertip controls is an additional
feature of the flowmeter. Its sealed flush surface makes it
easy to disinfect or barrier-protect. The unit’s height allows
it to be stored under counter space that is open below;
if not stored its flat surface can function as additional
counter space.

Accutron is a privately held company founded in the 1970’s by two
brothers who had a desire to produce nitrous oxide sedation systems
that met their quality standards. Today, the company manufactures
nitrous oxide equipment and accessory products at its 35,000 square foot
building in Phoenix, AZ. As an ISO and FDA compliant company,
Accutron operates according to Good Manufacturing Practices (GMP).
Products are sold through authorized dental distributors in the USA
and internationally.

107

Accutron™ 4 Cylinder Portable
Nitrous Oxide/Oxygen Sedation
System with Digital Flowmeter
(Ref # 56100)
Mobile N2O/O2 dispensing system designed to
carry two cylinders of Oxygen and two cylinders
of Nitrous Oxide along with a Digital Ultra ®
flowmeter. Cylinders connect directly to a high
pressure gas manifold with pressure indicator gauges
and regulators for each gas which reduce the
high cylinder pressures to the low pressures needed
for the procedure. Includes a scavenger circuit with
vacuum controller, reservoir bag, mixed gas tube,
and 9 ClearView™ nasal masks.

Company name: BEYOND® International Inc.
Country of origin: United States of America
Website: www.beyonddent.com
Since founding in 2003, BEYOND® has grown rapidly into a global
leader in professional tooth whitening systems and related consumables
with more than 35,000 chair-side professional teeth whitening systems
in place worldwide. Dentists and hygienists in more than 90 countries
are giving beautiful, white smiles to their patients while building profits
for their practices. BEYOND® products are developed and marketed
worldwide by BEYOND® International Inc., a U.S. corporation based in
Houston, Texas.

Polus Advanced
The Polus Advanced Whitening Accelerator is a next-generation
upgrade to the award winning Polus series of whitening
accelerators. The hallmark feature remains a powerful new
combination LightBridge® halogen/LED light source with
over 200,000 fiber optics set in place, to clean and carry the
full power of the light source to the front of the unit head for
maximum acceleration. A new ultrasound feature complements
the light acceleration by helping to better focus on tooth stains
in the enamel for optimal targeting with the gel. The high-end
features continue with passive air ionizer, intuitive color TUI
panel and audible call button that can give periodic updates on
the remaining time for treatment.
Each Polus Advanced unit comes with a comprehensive
marketing package, including standing poster, two wall
posters, 100 patient brochures and product showcase.
The Polus Advanced is the recipient of the Dental Advisor
“Top Whitening System” for eight years running.

BEYOND® II
The Beyond II Whitening Accelerator is a reimagining of our
successful line of Beyond accelerators. In response to customer
feedback, we created a system that was highly mobile and sleek,
that required less space to operate with. The Beyond II utilizes
high-powered LED and a dedicated system-specific cheek
retractor to allow for optimal targeting of the light to the gel
that will follow the patient’s movement. Key features are twopatient simultaneous whitening function capability, passive air
ionizer and intuitive touch user interface. The Beyond II can be
used for full standalone chairside treatment or for single touch
up situations where gingival protection may not be required.
Secondary light, cheek retractors and trays sold separately.
Comes in white, silver and blue colors.

Dental News Yearbook 2018

Company name: BIEN-AIR DENTAL SA
Country of origin: Switzerland
Website: www.bienair.com
Founded in 1959 in Bienne, Switzerland Bien-Air evolved from a family-run company to a global organization employing over 350 people.
Thanks to its heritage in research, high precision and practical ingenuity,
the company develops, designs, and manufactures all of its products
locally. They are then distributed via a network of 8 subsidiaries across
Europe, North America and Asia, together with competent representatives worldwide. More than 120 technicians provide fast and efficient
after sales service.

Quietly Powerful
Thanks to a series of proprietary technologies, the Tornado
delivers an outstanding power output of 30 watts, the best in the
industry today. It helps alleviate the number 1 dentist concern, lack
of time. Operating at an unparalleled 55-decibel sound level, the
Tornado skillfully combines performance with user and patient
comfort. In this respect, it is no coincidence that Bien-Air chose
the Tornado to premiere such features as a spray/illumination
system and an improved bur-locking mechanism. To guarantee
superior durability, the Tornado is fitted with custom-designed
ceramic ball bearings capable of handling the highest speed and
heaviest loads.

EVO.15

Designed for todayâ&#x20AC;&#x2122;s challenges
The contra-angle EVO.15 is one a kind, simultaneously raising
performance standards and revolutionizing patient safety.
This promising handpiece combines Swiss precision with an
unparalleled level of durability and ergonomics. The most
advanced engineering techniques, skilled company know-how,
and up to 3 years of warranty put in your hands the quality and
reliability our competitors have been trying to match for almost
60 years.

Dental News Yearbook 2018

Company name: BISCO, INC.
Country of origin: United States of America
Website: www.bisco.com

115

Dental News Yearbook 2018

117

Dental News Yearbook 2018

Company name: CROSSTEX
Country of origin: United States of America
Website: www.crosstex.com
Crosstex International Inc. (A division of Cantel Medical Corporation)
From a simple beginning in 1953, as a disposable towel/bib
manufacturer, Crosstex has steadily grown to become one of the world’s
leading infection prevention and control entities. Through a combination
of strategic acquisitions and partnerships, Crosstex has become more
vertically integrated, manufacturing more than 95% of their products
here in the USA. Crosstex is a recognized leader for its portfolio of
Personal Protection Equipment (PPE), Dental Unit Waterline Treatments,

Dental Unit Waterline (DUWL) Treatment
Crosstex leads the waterline category with a family of
products that make DUWL treatment simple, effective,
reliable and safe. Multi-award-winning DentaPure ®
cartridges have revolutionized DUWL treatment by providing
safe, compliant dental unit water for 365 days (or 240L of
water if usage records are kept), to either bottle-based or
municipal waterline systems. For a powerful and versatile
liquid treatment for bottle-based systems, Liquid Ultra ®
solution kills biofilm bacteria, removes existing biofilm
bacteria and prevents/suppresses formation of biofilm
in DUWLs.

Chemistries, Sterilization, Preventives, Nitrous-Oxide Equipment, and
Single-Use Disposable products. Crosstex products are sold throughout
the world in more than 100 countries. Combine this with 12 strategically
located manufacturing & distribution facilities around the world and
you begin to understand the broad reach and impact of Crosstex in
the healthcare industry. Crosstex became a wholly owned subsidiary of
Cantel Medical Corp. in August, 2005. This relationship has strengthened
Crosstex’s position in terms of its ability to expand its manufacturing
capabilities as well as add to its broad range of products.
Crosstex is ready to write the next chapter in its history, continuing the
tradition started by the founding fathers and nurtured by their sons.
Along with our loyal customers, our employees and our suppliers,
Crosstex will continue to fulfill its role as a global leader of infection
prevention products.

ConFirm ® 10 In-Office Biological
Monitoring System
• In-office biological monitioring system provides final
results in just 10 hours
• Simply process test indicator vial in a normal steam
sterilization cycle, remove, crush ampoule and place in
incubator along with an unprocessed control vial for
required 10 hour incubation
• Media in test vial will turn yellow if any spores remain
alive, thus signifying a failed test; control vial media should
remain purple

Company name: DenMat
Country of origin: United States of America
Website: www.denmat.com
Since 1974, DenMat has been a leader in high-quality dental products
for dental professionals in more than 60 countries around the world.
DenMat makes and assembles most of its products at its world
headquarters on the Central Coast of California. DenMat offers three
main product categories: Consumables, Small Equipment, and a
full-service Dental Laboratory. DenMat’s consumables include the brands
known and trusted: Geristore®, Core Paste®, Tenure®, Ultra-Bond®,
Infinity®, Splash®, Precision®, Perfectemp®, and LumiBrite®. DenMat’s
small equipment includes a broad suite of products, including NVpro3™,
and SOL™ soft-tissue diode lasers, Rotadent® PeriOptix™ magnification
loupes and lights, Flashlite™ curing lights, VizilitePRO for oral lesion
screening, and a full line of high-quality hand instruments. DenMat is
the home of the world’s #1 patient-requested thin veneer, Lumineers®.

Now better than ever and backed by Thinnovation®: DenMat’s fresh
multi-disciplinary approach to anterior esthetics using the latest
generation of Lumineers, all hand-finished by skilled lab artisans in
California. DenMat also features Snap-On Smile®, the ultimate
provisional appliance.
Each of DenMat’s more than 400 employees is focused on assuring that
you—our dental customers—love our products and love your customer
experience.
We’re building one of the world’s great dental companies—one happy
dentist at a time!

Soft-Tissue Microlaser
The latest evolution in cordless soft-tissue
lasers is now optimized for periodontal,
restorative and orthodontic procedures.
Deliver the benefits of laser dentistry to a
broader range of patient types, with ease.

Oral Lesion Screening System
This lightweight and ergonomic device
uses powerful shortwave LED’s to generate
biofluorescence and enhance visualization.
Screen over 100 patients on a single charge
and improve your procedural efficiency.
Early detection may save a life.

121

The NEW FireFlyâ&#x201E;˘ Cordless Headlight
System!
Are you ready to lose the cord on your loupes and headlights?
Introducing the newest PeriOptixÂŽ product, the FireFly cordless
headlight system. The Firefly is the first cordless headlight
system designed to fit any pair of loupes, including the
ones you have now! The FireFly offers a lightweight alternative
to other bulky, built in headlight designs without compromising
brightness or style. Only the FireFly headlight system completely
eliminates cumbersome cords to give you ultimate mobility,
allowing you to focus on what matters most: your patients.

Dental News Yearbook 2018

Company name: Dentsply Sirona
Email: MEA-Marketing@dentsplysirona.com
Website: dentsplysirona.com
Dentsply Sirona is the world’s largest manufacturer of professional
dental products and technologies, with a history of innovation
and service to the dental industry and patients worldwide.
Dentsply Sirona develops, manufactures, and markets a
comprehensive solutions offering including dental and oral health
products as well as other consumable medical devices under a
strong portfolio of world class brands. As The Dental Solutions
Company™, Dentsply Sirona’s products provide innovative,
high-quality and effective solutions to advance patient care and
deliver better, safer and faster dentistry. With a sales presence
in more than 120 countries, patients and practitioners virtually
everywhere in the world rely on Dentsply Sirona.

Single Visit Dentistry with CEREC
Single visit dentistry is an emerging expectation amongst patients
today. Everything from a single source for safer, better and faster
dentistry, and this is made possible by CEREC. Dentists can now
deliver full contour crowns and small bridges made of the fullstrength high-quality zirconium oxide chairside while the patient
waits.
Spare your patients the discomfort of a conventional impression
tray. Take digital impressions, with CEREC Omnicam, our small
powder-free colour camera. CEREC Software 4.5 then generates
outstanding restoration proposals, based on the unique “Biojaw”
function which is optimally synchronised with the CEREC grinding and milling unit to produce extremely precise restorations. Full
contour zirconia restorations are sintered and glazed for a high-gloss
finish at the dentist’s chair in the compact CEREC SpeedFire furnace.

Celtra®
Zirconia-Reinforced Lithium Silicate (ZLS)
The new generation of high strength glass-ceramic, (ZLS),
is available in the form of CAD/CAM blocks for CEREC and
inLab, Celtra® Duo, or as pellets via the traditional pressing
procedure, Celtra® Press. This unique material provides top aesthetics
thanks to its chameleon effect, enabling them to blend in with
surrounding teeth for a natural vitality and lifelike appearance.
Celtra® Duo provides you with an unsurpassed level of freedom,
control, and workflow flexibility. It can be processed with two
alternative methods; Mill and Polish, offering a restoration of around
210 MPa in just 15 minutes, and Mill and Fire, stain/glaze firing the
material to achieve the strength of lithium disilicate (370 MPa).
Celtra® Press offers high strength (>500 MPa), creating
natural opalescence and translucency alongside stable margins. It is
also simple and fast to process thanks to a minimal reaction layer,
easy polishing, and a simplified shade system.

Dental News Yearbook 2018

Class II Solution™
The filling concept designed for efficient and
reliable results

®
V3
1 Palodent
Sectional Matrix System

Prime&Bond universal™
2 Universal
Adhesive

®
Plus
3 SDR
Bulk Fill Flowable

4

Dentists face a variety of challenges in every step of a Class II
procedure and as Class II restorations account for nearly half of
all direct restorations, getting them right the first time is key to
happy patients and profitability. Dentsply Sirona’s Class II Solution™ offers a portfolio of products designed to work together
to deliver success at the most vulnerable interface – the floor of
the proximal box – and achieve aesthetic results.
Palodent® V3 Sectional Matrix System, Prime&Bond universal™
Universal Adhesive, SDR® Plus Bulk Fill Flowable and ceram.x®
SphereTEC™ one Universal Nano-Ceramic Composite provide
the only complete solution with unmatched adaptation at each
critical step of a Class II restoration.

Astra Tech Implant System® EV
Simplicity without compromise
Astra Tech Implant System® EV has been developed to make
the daily work of our customers easier. The foundation of this
evolutionary step remains the unique Astra Tech Implant System
BioManagement Complex®, well-documented for its long-term
marginal bone maintenance and aesthetic results.

drilling protocols to allow for the preferred primary stability.
All of this is supported by flexible surgical protocol and a simple
prosthetic workflow for increased confidence and satisfaction
for all members of the treatment team.

The design philosophy of the Astra
Tech Implant System® EV is based on
the natural dentition and utilises the
site-specific, crown-down approach.
To support this approach, the system
uses a unique interface with
one-position-only placement for
Atlantis® patient-specific abutments,
self-guiding impression components,
versatile implant designs and flexible

Company name: DÜRR DENTAL AG
Country of origin: Germany
Website: www.duerr.de
DÜRR DENTAL represents progress and innovation in dental
medicine. The headquarters of the independent family business are in
Bietigheim-Bissingen, Germany.
The business group with a turnover of more than 200 Mio. Euro,
employs more than 1,000 people worldwide. Many standards in dental
medicine originated from Dürr Dental developments such as oil-free
dental compressed air or hygienic spray-mist suction. Dürr Dental
compressed air and suction systems have made the company one of the
global market leaders in dental medicine.

In the areas of compressed air, suction, imaging, dental care and
hygiene, this innovative leader provides many system solutions. Dürr
Dental sets the benchmark with its developments and has the right
choice of products for all requirements. To achieve the best possible
quality our manufacturing is done almost exclusively in Germany. Our
greatest advances have been in digital diagnostics: high quality intraoral
images with VistaCam as well as high quality digital radiographs with
VistaScan imaging plate system.

Dürr Dental expands its expertise
with the new brand Lunos® for
professional prophylaxis
Dürr is a global dental specialist and renowned for its top
product lines, including Dürr Dental compressors and
suction units, Dürr System Hygiene, as well imaging
systems and the Vector ultrasonic system. Their high
standards and expectations are still the source of
motivation for employees now as they were back
then, particularly in the latest, new area of Prevention
and Therapy.
With the motto ‘the best by design’ the Company
aspires to create entirely new opportunities. Above all
else, the focus here is on the partnerships between
the company and dental surgeries and on providing a
range of carefully coordinated products. It goes without
saying that, right from the start, during development,
the highest demands were set in terms of medical
quality, user-friendliness and patient satisfaction.
The portfolio ranges from dental rinse solutions and powder
jet handpieces with a unique exchangeable chamber
principle to a wide range of different powders and pastes
– an evolution for dental practices and for Dürr Dental!

129

VistaVox S: CBCT and panoramic
images with exceptional image quality
The jaw-shaped field of view of the VistaVox S maps the
diagnostically relevant range of a 130-mm volume. Thanks
to this changed volume shape, VistaVox S also completely
covers the region of the rear molars – an essential
requirement for diagnostics, e.g. for an impacted wisdom
tooth.
VistaVox S additionally offers ten further Ø 50 x 50 mm
volumes: five each for the upper jaw and for the lower
jaws. These are used if the indication only requires imaging
of a certain region of the jaw, e.g. for endodontical or
implantological treatments. Depending on the required
level of detail in the image, the volumes can be used with
a resolution of either 80 or 120 μm.
Supplemented by the 17 panoramic programmes in the
tried-and-tested S-pan technology, this provides dental
practices with excellent imaging diagnostics in both the 2D
and 3D areas.

A new formulation for Orotol® plus and MD 555
cleaner gives even better results
The suction unit disinfectant Orotol ® plus and MD 555 cleaner have
long been viewed as the gold standard. The improved formulation
of the MD 555 cleaner from Dürr Dental represents the best-possible
system solution for the removal of persistent deposits on dental units.
Both concentrates complement each other perfectly; whilst Orotol ®
plus deals stringently with bacteria, fungi and viruses, MD 555 cleaner
reliably removes deposits of insoluble salts, limescale, prophylaxis
powders, or calcium carbonate-based Pearl products from all components
in the suction unit – including the lines. When performed regularly
this considerably reduces the risk of a loss of performance or complete
outage of the unit. Use of the unbeatable duo also increases the
service life of your suction unit. Independent experts concur with Dürr
Dental’s estimation of the benefits afforded by regular use in improving
the general care of suction units - every second unit in a German
practice is thought to be suffering from poor performance due to
inadequate cleaning. Disinfection does not always mean proper
cleaning! Dürr Dental hopes to play its part in improving this situation.
Dental News Yearbook 2018

Company name: FKG DENTAIRE SA
Country of origin: Switzerland
Website: www.fkg.ch
Founded in Switzerland in 1931, FKG Dentaire SA gained a new
momentum in 1994, the year Jean-Claude Rouiller took over the reins practitioners, endodontists and laboratories. The FKG strategy is centered
of the company. He propelled FKG to the forefront in the development, on innovative high-precision products and the creation of machines
manufacturing and distribution of dental products destined for general designed specifically for the dental field. Its aim is to offer solutions that
meet the most demanding needs of end users.

A new generation of Swiss-made instruments enables safer and more effective root canal treatments,
thanks to unique 3D extension capabilities.
The XP-endo® Shaper Plus sequence, launched by
leading Swiss endodontic firm FKG Dentaire SA, solves a common
problem for dentists: how to treat complex root canal systems
without causing damage to the dentinal structure. FKG combined
unique Adaptive Core™ technology with 3D design to create
instruments that can easily adapt to the canal anatomy to clean
once impossible-to-reach areas. The result is enhanced debris
removal and irrigation for a more gentle, conservative treatment
compared to instrumentation using traditional NiTi files.

“The main problem with conventional files is their lack of
flexibility, which means that dentists can’t remove all the debris,
but sometimes end up taking off too much healthy dentin,” says
Thierry Rouiller, CEO of FKG Dentaire.
“But that all changes with this XP-endo® generation
of instruments.”
The patented MaxWire® alloy reacts to the body’s temperature,
making the tools highly flexible compared to instruments of the
same final size. A small, free-floating adaptive core designed in
3D allows the instruments to expand and progress with agility
along the canal while resisting to cyclic fatigue.
• The XP-endo® Shaper (XP-S) performs 3D debridement of
the canal while respecting its natural shape.
• The XP-endo® Finisher (XP-F) achieves 3D cleaning and
biofilm removal, including in areas impossible to reach with
traditional files.
• The instruments are delivered in a sterile blister pack destined
for single patient use, thus maximising safety.
With the XP-endo® Shaper Plus sequence, dentists have the
most advanced Swiss precision tools at their fingertips to perform
a complete, minimally invasive root canal instrumentation.

Rooter™ S
FKG Dentaire presents its new cordless endodontic motor
The outstanding feature of this new instrument is its ability to be used both on its own and in combination with the
new apex locator from FKG, the S-Apex™.

Convincing functions in practice

The Rooter S and S-Apex combination

With its modular capabilities, the new endodontic motor from
FKG provides users with maximum possible flexibility during
treatment. The elegant endodontic motor only weighs 103
grams and guarantees application without any signs of fatigue.
In addition, the angle piece can be turned through 290° to
ensure optimum visibility in all quadrants. This is assisted above
all in the molar sector by the extremely small head, which has an
integrated electrode file.

The Rooter S can also be connected to the FKG S-Apex by data
transfer cable in order to provide additional functions such as
“Auto Start and Stop” or automatic stop as soon as the file has
reached the reference point (“Auto Apical Stop”).

With speeds from 50 to 1,000 rpm, users have the choice of
eleven different speed settings to suit their individual needs.
The user can adjust all functions by push-button and store
the settings at six storage locations. The easy-to-read colour
display shows all the relevant information and settings and can
be turned through 180° for left-handed users. Acoustic signals
further assist root canal preparation as the user does not have to
keep looking at the instrument’s display.
Dental News Yearbook 2018

Company name: MICRO-MEGA®
Country of origin: France
Website: www.micro-mega.com
MICRO-MEGA®, a hundred-year-old French company, possesses
know-how that is recognized worldwide in the fields of the design,
manufacture and sale of dental surgical instruments (root canal
instruments, obturation, hand instruments and instrument hygiene).
MICRO-MEGA®’s expertise in the design and construction of its own
production machinery has helped to achieve a predominant position in
the dental instrument world.

Over the years, MICRO-MEGA® has become a leader and undisputed
specialist in endodontics.
Its mission is to innovate in this field, setting the standards for general
dental practitioners throughout the world and offering the dental market a unique range of technical and scientific expertise.

Discover the new MICRO-MEGA endo sequence 2Shape!
2Shape, two files to shape.
• Ultra-simple: 2 instruments directly to the working length, in a minimum time with a maximum comfort
• Ultra-flexible: T.Wire heat-treatment for more flexibility and a better fracture resistance
• Ultra-economical: reusable instruments in sterile blisters
2Shape Paper Points and Gutta Percha points available.

To complete your endo treatment, MICRO-MEGA proposes
EndoUltra TM, the first cordless ultrasonic handpiece which has
been specifically designed for intracanal activation of the irrigant
during the final rinse.

• Ultra-sonic: efficient cavitation and acoustic streaming
• Ultra-fast: optimized disinfection in several sequences
of 30 seconds each
• Ultra-performing: penetration and action of the irrigant in all
the zones which are inaccessible for the instruments

“Providing durable and elegant, yet competitively priced product” has
been NSK’s philosophy since it was established in 1930. Specialized in
super high-speed rotary cutting technology, NSK delivers a variety of
high quality and extremely cost efficient products to the dentistry.
NSK focuses on satisfying diverse customers’ requirements through
timely product development backed up with unparalleled production
engineering and innovative technology.

NSK is a top brand committed to serving the needs of dental practitioners, technicians and hygienists. NSK’s continued development
offers innovative design and unrivalled quality as well as outstanding
value and performance all of which is supported by NSK’s global sales
network and first-class after-sales service.

Extensive Range of Applications from
Supragingival to Subgingival Use
Perio-Mate removes plaque biofilm and moderate stains
around the supragingival, gingival margin and in the pocket
up to approximately 3mm, without use of the nozzle tip.
Perio-Mate is ideal for efficient cleaning around dental implants
and prosthetic restorations, as well as orthodontic appliances.
Perio-Mateâ&#x20AC;&#x2122;s slim and flexible nozzle tip enables it to reach into
the periodontal pocket for 3~6mm below the gingival margin.
The optimized flow of powder based on NSKâ&#x20AC;&#x2122;s industry-leading
fluid analysis technology ensures an optimal result of treatment
inside the pocket.

Dental News Yearbook 2018

Company name: Ormco
Country of origin: California, USA
Website: www.ormco.eu

Ormco builds trusted relationships with the orthodontists we serve,
providing a breadth of innovative products and solutions to enhance
their professional lives. Ormco is committed to helping orthodontists
achieve their clinical and practice management objectives.

Mission Statement
Ormco builds trusted relationships with the orthodontists we serve,
providing a breadth of innovative products and solutions to enhance their
professional lives. Ormco is committed to helping orthodontists achieve
their clinical and practice management objectives.”

Ormco has a distinguished 50+ year history of providing the orthodontic
profession with high quality, innovative products backed by attentive
customer service and educational support. Our pledge to you, our
valued customers, is to continue to provide you with the products and
services that you need and want – products that make the orthodontic
experience a great one for you, your staff and your patients.

The award–winning Insignia Advanced Smile Design allows
you to combine your treatment strategy with the precision
of computer-aided smile design to give every patient an
optimal occlusion and smile arc specifically proportioned
to their unique facial features. Insignia can make difficult
cases more manageable and routine cases exceptional.
Visualize, Plan, and Achieve Your Ideal Finish
Insignia Approver software can be used to apply a higher
level of design into your patient’s treatment and display the
virtual end-result.

Grow Your Practice With Digital Technology
Differentiate your practice with a high tech treatment solution
for patients.
37% Reduced Treatment Time With 7 Fewer Patient Visits*
Independent data concludes torque-specific Insignia customized
brackets and wires reduce treatment time on average by
37% with 7 fewer office visits compared to conventional
appliance treatment.
Clear Precision Placement Guides (JIGS)
Have the ability to view exact bracket placement before
light curing.
A Culmination Of Decades Of Research And Innovation
Insignia uses advanced algorithms in combination with PVS
impressions to create a 3-D virtual model of the patient’s anatomy.
With Insignia, you have complete control of each case.
Although an initial suggested course of treatment is provided
through the Approver software, you are able to view each
tooth in great detail. Multiple views and rotations allow you to
perfect each case and make cosmetic adjustments to create a truly
unique smile.

Dental News Yearbook 2018

Company name: Ultradent Products Inc.
Country of origin: Salt Lake City, UT (USA)
Website: www.ultradent.com
Ultradent Products Inc. was founded in 1978 in Salt Lake City by
Dr. Fischer dentist, researcher and university professor (now CEO of
Ultradent) with the aim of improving the techniques and products used
by dentists in the entire world, in order to solve patient problems faster
and without invasive methods.
At the origin of the long series of innovations, there was the righteous
combination of progressively refined work experience and relentless
creativity. Needless to say, with such a fruitful basic duality, success

could not be missed. In fact, within a few years, from a laboratory
set up in the kitchen, Ultradent has grown to take on the bulk of an
industrial complex of over 50,000 square meters with more than
1,600 employees where more than 500 products for dentists and
dental professionals are produced and marketed.

Opalescence whitening system
Opalescence, the whitening system of Ultradent Products Inc.,
since its inception in 1990, has always been considered the
whitening treatments’ gold standard, thanks to the unique
features that the gel, even after several years, continues to
have, respect to its main competitors. The gel has an optimum
viscosity that guarantees the best whitening effect as it stays where
it is positioned, while ensuring safety and comfort for the patient.

The wide range of Opalescence whitening system, both take- home
and in-office, has been formulated to meet every need for both the
clinician and the patient. It is available in different concentrations of
Carbamide Peroxide and Hydrogen Peroxide and tastes.
All Opalescence products do not contain gluten, sugar and carcinogenic sweeteners, have Kosher certification, have neutral pH and a
high concentration of water that helps prevent dehydration.

UVENEER
Uveneer direct composite template system is a unique, minimally
invasive template system that creates perfect direct composite
veneers with predictable shape and symmetry.
It mimics natural dentition and is designed to create high-quality,
natural-looking anterior restorations in one visit. It can also be used
for cosmetic mock-ups and shade selection as well as temporaries
during porcelain veneer creation.

The direct composite template system:
• Prevents the oxygen inhibition layer during curing, resulting in
a hard, glossy surface
• Allows light to pass through the template to the composite for
effective curing
• Works with any preferred composite
• Releases easily from cured composite resin
• Requires minimal adjusting or polishing, saving time
• Facilitates application on individual or multiple teeth
• Is autoclavable and reusable, making it a cost-effective choice

Company name: WHITEsmile GmbH
Country of origin: Germany
Website: www.whitesmile.com
In 1994 WHITEsmile was one of the first companies in Europe to
specialize in the production of tooth-whitening products. Our “Made
in Germany” materials and whitening lamps are the result of constant
consultation with dentists and users in over 60 countries. WHITEsmile
materials are clinically tested, certified medical products and devices.

fläsh is the innovative new development from WHITEsmile. Based
on over 20 years of tooth-whitening experience, our cutting-edge,
“Made in Germany” fläsh device light optimizes in-office whitening.
Together with fläsh gel, fläsh provides the most effective results
with maximum ease of handling. Our extensive experience makes
WHITEsmile a partner you can trust for tooth whitening.

WHITEsmile encompasses the entire spectrum of professional tooth
whitening offerings. Your dental clinic has the flexibility to provide
patients with optimal combinations of in-office and at-home whitening.
In-office LIGHT Whitening and POWER Whitening are different but
effective options. In addition, HOME Whitening is a self-directed,
home-use option. Following LIGHT Whitening or POWER Whitening
with HOME Whitening results in the most vivid results for your patients.

New: fläsh Chairside Light
Whitening System
fläsh is our latest high-performance LED technology
leveraging high-intensity focused light spectrum with
visible blue light. The light output can be varied,
with special settings for sensitive teeth and single
tooth whitening, and is a safe working temperature.
The life expectancy of the LEDs is more than
10,000 applications.
fläsh Chairside Light Whitening gel (32% hydrogen
peroxide with active chlorophyll) provides maximum
results from light-assisted chairside medical tooth
whitening. Effective whitening can be achieved in a
single session of three 15-minute applications. The
treatment can be intensified by your patients’ use of
fläsh Take Home Whitening.

Compact design and easy to access: the smallest imaging
plate scanner on the market for your personal convenience.
Streamline workflow with images in seconds: drop your
imaging plate in the PSPIX2 and let it do the rest.
Improved patient experience with various sizes of thin
and flexible imaging plates.
Striking contrast for a more reliable diagnosis.

More and more dentists and dental lab technicians rely on IPS e.max,
the clinically proven all-ceramic system that offers high esthetics and
dependable strength. 100 million restorations placed attest to this. From
crowns, inlays, onlays, thin veneers and abutments to bridges – make
the choice more dental professionals make... MAKE IT e.max!